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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Slight Thickening At The Bottom Of Heart Indicate In X-ray?

a recent chest x ray showed some slight thickening at the bottom of my heart. i am sceduled to have a 2d echo with doppler soon. having some symptoms like shortness of breath, mild chest pain and every so often my heart will beat really hard. what do you think is the problem and treatment
Fri, 17 Mar 2017
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Cardiologist 's  Response
Hi There
I understand your concern and I would like to tell you that thickened lower heart border on a chest xray is suggestive of constrictive pericarditis. The symptoms which you are experiencing also happens in it. The good way of confirmation of diagnosis of Constrictive Pericarditis is an ECHOCARDIOGRAPHY or a CT chest.
If the diagnosis of CP is confirmed then it could be managed with medicines like NSAIDS, Colchicine, cox 2 inhibitors and steroids or combination of them. Treatment duration varies from patient to patient. It's is curable.

I wish you good health
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What Does The Slight Thickening At The Bottom Of Heart Indicate In X-ray?

Hi There I understand your concern and I would like to tell you that thickened lower heart border on a chest xray is suggestive of constrictive pericarditis. The symptoms which you are experiencing also happens in it. The good way of confirmation of diagnosis of Constrictive Pericarditis is an ECHOCARDIOGRAPHY or a CT chest. If the diagnosis of CP is confirmed then it could be managed with medicines like NSAIDS, Colchicine, cox 2 inhibitors and steroids or combination of them. Treatment duration varies from patient to patient. It s is curable. I wish you good health